Individual
MRS. KELLI A MOTHERWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-C
Contact information
Practice address
1390 S ARCH AVE, ALLIANCE, OH 44601-4111
(330) 821-3961
Mailing address
191 VALLEY RD, SALEM, OH 44460-9769
(330) 398-3388
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.333481
OH
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN.CNP.024862
OH
Other
Enumeration date
06/18/2019
Last updated
05/30/2023
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